Provider Demographics
NPI:1992193361
Name:COLES, LAUREN E (LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:COLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 HOMEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-9336
Mailing Address - Country:US
Mailing Address - Phone:479-365-0921
Mailing Address - Fax:
Practice Address - Street 1:2575 GENE GEORGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-3180
Practice Address - Country:US
Practice Address - Phone:479-750-0125
Practice Address - Fax:479-750-0875
Is Sole Proprietor?:No
Enumeration Date:2015-01-07
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1501012101YM0800X
ARP1704282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health